Fillable TOWN OF SUPERIOR GRADING & EXCAVATION PERMIT (Town of Superior)

Fill Online, Printable, Fillable, Blank TOWN OF SUPERIOR GRADING & EXCAVATION PERMIT (Town of Superior) Form

Use Fill to complete blank online TOWN OF SUPERIOR (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

TOWN OF SUPERIOR GRADING & EXCAVATION PERMIT (Town of Superior)

On average this form takes 12 minutes to complete

The TOWN OF SUPERIOR GRADING & EXCAVATION PERMIT (Town of Superior) form is 3 pages long and contains:

  • 2 signatures
  • 5 check-boxes
  • 37 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Superior

BROWSE TOWN OF SUPERIOR (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DATE:
LEGAL DESCRIPTION
ASSESSOR’S PARCEL NUMBER
NAME OF DEVELOPMENT
CONSTRUCTION ADDRESS
DEVELOPER/OWNER/AGENT TELEPHONE
DESCRIPTION OF GRADING & EXCAVATION
□ PLANS ATTACHED □ REGULAR GRADING □ ENGINEERED GRADING
CONTRACTOR _ CONTACT
ADDRESS PHONE: Day
CITY, STATE, ZIP Emergency Phone:
CITY BUSINESS LICENSE STATE CONTRACTOR’S LICENSE
CERTIFICATE OF INSURANCE PROVIDED THROUGH
ENGINEER: CIVIL □ or GEOTECHNICAL □ CONTACT:
ADDRESS:
PHONE: (day) (24hr.)
SPECIAL PROVISIONS:
1. Does a wash/drainage swale exist on property?
2. Proposed depth of cut or fill ---------- CHECK QUANTITY OF CUBIC YARDS BELOW
GRADING PERMIT FEES
□ Single-family residential lot outside of a subdivision: $150.00 (including plan review) for up
to 1,000 cubic yards.
□ Commercial development individual lot - commercial/industrial/multifamily: $350.00 (under
1 acre, including plan review)
□ Commercial development subdivision - residential/commercial/industrial: $350.00 plus
$25/acre
Grading total: cubic yards =
Acres = Continued on back
TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 85173/520-689-5752
GRADING & EXCAVATION PERMIT
Permit :
Date:
Permit Fee $
MS4 Stormwater/Erosion Control (Area Larger Than 1 Acre) $
Individual Lot - Outside Platted Subdivision: $120.00 (Flat Fee)
Subdivision: $1500 (Flat Fee)
Submittal Fee $
Zoning Fee $
Total Fee $
I HEREBY CERTIFY THAT THIS APPLICATION AND ALL Submittals; ARE TRUE AND CORRECT.
RELATED STATE LAWS AND COUNTY ORDINANCES WILL BE COMPLIED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF THE PERMIT DOES NOT PRESUME TO
GIVE AUTHORITY TO VIOLATE OR CANCEL ANY OTHER LAWS REGULATING
CONSTRUCTION OR THE PERFORMANCE OF SAME.
Signature of Permittee: Date:
Print Name:
click to sign
signature
click to edit
199 N Lobb Ave, Superior, AZ 85173 T 520-689-5752
www.superioraz.gov
PROPERTY OWNER AUTHORIZATION FORM
I (property owner)
hereby authorize (owner’s agent)
To make application to Town of Superior for the following (description of work)
Assessor Parcel Number:
PhysicalAddress:
City/Town: State: AZ Zip:
By signing this Form, I acknowledge and agree that I am not released from
responsibility for: (1) the payment of any and all fees associated with the issuance
of any permits, orders, notices or other approvals (“Approvals”) by Town of
Superior pursuant to my agent’s application; (2) the satisfactory completion of all
work authorized by such Approvals in compliance with all applicable county, state
and federal laws, codes, rules, regulations and requirements; and (3) correcting
any violations of the terms and conditions of such Approvals issued by Town of
Superior pursuant to my agent’s application.
Property Owner:
By (signature):
Name:
Phone Number:
Email:
Date:
TOWN OF SUPERIOR
199 N Lobb Ave, Superior, AZ 85173
520-689-5752
(Incomplete applications will not be accepted)
Submit
Clear
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

TOWN OF SUPERIOR GRADING & EXCAVATION PERMIT (Town of Superior)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document